Utilization Management US RN Sr Analyst

JOB TITLE: Utilization Management US RN Sr AnalystWORK SET UP: Full On-site in Uptown BGC, TaguigWORK SHIFT: Depends with the client and project but they are looking for someone who can work on a shifting schedule(Salary is confidential but sharing a range here for sourcing purposes only and never share to your candidates, only give them a hint that once...

JOB DESCRIPTION:Grievance & AppealsCreates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.Creates a detailed case summary in narrative format for each appeal.Submits cases as directed for each applicable geographic region.Presents verbal and written case...

Job title: ICU RN AuditorWork set-up: Hybrid in TaguigWork shift: Mid-shiftSalary: PHP 70,000 PHP 80,000Required FTE: 1Job ID: J QUALIFICATIONS: BS Nursing Graduate Licenses: PH RN or US RN Minimum 5 years experience on Post Payment Claims Auditing or ICU RN Auditor and 5-10 years experience on ICU/CCU nursing experience Exposed to ICU experience such as...

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care...

We are looking for Sr. Business Analyst to work for our client located in BGCThis role is on a Hybrid Setup that follows a Night Shift ScheduleSalary is up to 90K max based on experience and interview resultMinimum requirement of 8 years with background in app development in the banking/financial industryA "Senior Business Analyst" is a professional...

Summary:As a Business Analyst (BA), you will be responsible for gathering requirements by analyzing existing code and documentation and compiling them into a System Requirement Specification (SRS). You will work closely with developers and stakeholders to ensure alignment on requirements, design and write Test Suites, perform System Integration Testing...

Summary:As a Business Analyst (BA), you will be responsible for gathering requirements by analyzing existing code and documentation and compiling them into a System Requirement Specification (SRS). You will work closely with developers and stakeholders to ensure alignment on requirements, design and write Test Suites, perform System Integration Testing...

Summary:As a Business Analyst (BA), you will be responsible for gathering requirements by analyzing existing code and documentation and compiling them into a System Requirement Specification (SRS). You will work closely with developers and stakeholders to ensure alignment on requirements, design and write Test Suites, perform System Integration Testing...

We are seeking a results-driven US Healthcare Recruiter to source, screen, and hire top healthcare professionals for our US-based clients. The ideal candidate will have a deep understanding of the US healthcare industry, strong interpersonal skills, and the ability to manage the full recruitment lifecycle.Key Responsibilities:Source qualified healthcare...

  Are you looking for an exciting opportunity working for a Global Technology Leader?At Aviat Networks, we take great pride in hiring a workforce that is committed to supporting and strengthening our values and attributes. If you are a results-oriented, customer centric and innovative thinker who also takes pride in personal and professional integrity,...